Efficacy of MIrikizumab to Achieve Transmural Healing in patiENTs With Crohn's Disease (EMINENT-CD)

Efficacy of MIrikizumab to Achieve Transmural Healing in patiENTs With Crohn's Disease : EMINENT-CD

Efficacy of Mirikizumab to achieve transmural healing in patients with Crohn's Disease

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

75

Phase

  • Phase 4

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

      • Brest, France, 29200
        • Not yet recruiting
        • CHU de Brest - Hopital de la Cavale Blanche
        • Contact:
      • Clermont-Ferrand, France, 63003
      • Nîmes, France, 30029
        • Not yet recruiting
        • CHU de Nîmes Carémeau
        • Contact:
      • Paris, France, 75674
        • Not yet recruiting
        • Institut Mutualiste Monsouris
        • Contact:
      • Toulouse, France, 31059
        • Not yet recruiting
        • CHU de Toulouse - Hôpital Rangueil
        • Contact:
      • Valence, France, 26000
        • Not yet recruiting
        • CH de Valence
        • Contact:

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Patients with CD
  • ≥ 18 to ≤ 75 years-old
  • Symptomatic CD according to PRO-2 (stool > 3 or abdominal pain score > 1)
  • Transmural inflammation on baseline MRI (C-score > 0.5 in at least one segment)

Exclusion Criteria:

  • Prior exposure to anti-p19 biological therapy
  • Exposure to more than 1 class of advanced therapies at a dose approved for the treatment of Crohn's disease (janus kinase [JAK] inhibitors, infliximab, adalimumab, certolizumab pegol, vedolizumab, ustekinumab, or approved biosimilars for these agents
  • Exclude any previous use of p19 IL23s agents
  • Contra-indication to mirikizumab
  • Definitive ostomy
  • Colectomy with IPAA
  • Isolated or uncontrolled perianal lesions
  • Severe obstructive symptoms
  • Intra-abdominal abscess
  • Contra-indication to MRI
  • No health insurance
  • Pregnant or lactating women
  • Patients already included in biomedical research other than an observational study (e.g., registry, cohort)
  • Concomitant Clostridioides difficile infection
  • HIV infection
  • Patient under guardianship, curatorship or safeguard of justice

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Supportive Care
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Mirikizumab treatment

Mirikizumab will be used as scheduled in the drug label: induction with IV infusions (900 mg) at week 0, week 4 and week 8.

For clinical responders: SC injections (300 mg) at W12 and every 4 weeks For clinical non-responders: SC injections (300 mg) at W12 and every 4 weeks

Mirikizumab induction with IV infusions (900 mg) at week 0, week 4 and week 8.
SC injections (300 mg) at W12 and every 4 weeks For clinical responders and non-responders

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Transmural response (TR25)
Time Frame: From week 0 to week 24
Transmural response (TR25) define as the decrease of at least (>=) 25% of C-score in each and all active segment from baseline to week 24
From week 0 to week 24

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Clinical remission
Time Frame: Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
Clinical remission will be defined according to PRO-2 (Patient Report Outcome)
Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
Improvement or normalization of bowel urgency
Time Frame: Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
Improvement or normalization of bowel urgency according to UNRS (Urgency Numerical Rating Scale)
Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
BU clinical meaningful improvement
Time Frame: Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
BU clinical meaningful improvement was defined as decrease of >=3 points; BU Remission was defined as UNRS =<2
Week 0, Week 4, Week 8, Week 12, Week 24, Week 52, Week 76
Transmural response (TR50)
Time Frame: Week 0, Week 24, Week 76
Transmural response (TR50) is defined as a decrease of at least 50% of C-score in each active segment at baseline
Week 0, Week 24, Week 76
Transmural healing
Time Frame: at Week 0, Week 24, Week 76
Transmural healing is defined as a C-score < 0.5 in each active segment at baseline
at Week 0, Week 24, Week 76
Disease activity
Time Frame: Week 0, Week 24, Week 76
Disease activity is measured by the MaRIA score (Magnetic Resonance Index of activity)
Week 0, Week 24, Week 76
IUS transmural response/healing
Time Frame: Week 4, Week 8, Week 12, Week 24
IUS transmural response/healing
Week 4, Week 8, Week 12, Week 24
Bowel damage
Time Frame: Week 24, Week 76
Bowel damage is measured with the Lemann Index
Week 24, Week 76
Transmural response (TR25)
Time Frame: Week 0, Week 4, Week 24, Week 76
Transmural response will be defined as a decrease of at least 25% of C-score in each active segment at baseline
Week 0, Week 4, Week 24, Week 76

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Investigators

  • Principal Investigator: Guillaume LE COSQUER, MD, CHU de Toulouse- Hôpital Rangueil
  • Principal Investigator: Anthony BUISSON, MD, University Hospital, Clermont-Ferrand

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

May 11, 2026

Primary Completion (Estimated)

November 1, 2027

Study Completion (Estimated)

November 1, 2028

Study Registration Dates

First Submitted

November 24, 2025

First Submitted That Met QC Criteria

December 5, 2025

First Posted (Actual)

December 18, 2025

Study Record Updates

Last Update Posted (Actual)

May 26, 2026

Last Update Submitted That Met QC Criteria

May 21, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Other Study ID Numbers

  • GETAID-2025-02
  • 2025-521889-95-00 (Ctis)

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

UNDECIDED

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

Clinical Trials on Crohn Disease (CD)

Clinical Trials on Mirikizumab - IV

Search Similar Trials